Study of Sacral Hiatus in Dry Human Sacrum in North Indian Population And Its Clinical Implication in Caudal Epidural Block
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 5
Abstract
Introduction: The sacrum is triangular bone formed by fusion of five sacral vertebrae and form postero superior wall of pelvic cavity. The opening at the caudal end of sacral canal is known as sacral hiatus, variations in sacral hiatus are important clinically as well as surgically. Aims and Objective: Aim is to do morphological analysis of sacral hiatus in dry human sacrum in North Indian population and objective is to assess its clinical implication in caudal epidural block (CEB). Materials and Methods: 31 complete and undamaged dry human sacrum of unknown sex collected from Department of Anatomy, SGT Medical College & Hospital Research Institute, Gurugram. Parameters such as Shape, level of apex, level of base sacral hiatus, length of sacral hiatus, transverse width of sacral hiatus, and depth of sacral hiatus at the level of apex were taken. Results: Inverted U shaped (41.5%) is most common shape, location of apex commonly found on 4th sacral vertebrae (70.96%), location of base is on 5th sacral vertebrae (90.32%). The sacral hiatus exhibits many variations in length, transverse width at base of cornua, anteroposterior depth at apex. Mean of length of sacral hiatus is 20.54, mean of transverse depth of sacral hiatus is 12.32 and mean of anteroposterior depth at apex is 4.61. Conclusion: Anatomical variation in the sacral hiatus and understanding of these variations may improve the success of caudal epidural block. These observations can provide a guideline for CEB.
Authors and Affiliations
Harvinder Singh, Amit Kumar Saxena, Prachi Saffar Aneja
Keywords
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- EP ID EP547560
- DOI 10.21276/ijmrp.2017.3.5.034
- Views 128
- Downloads 0
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